Individual provider Active NPI

Taffey-Marie Alison Cunnien, LPC

  • Professional Counselor
  • Douglasville, GA
National Provider Identifier
1124390299
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005223 Issued in GA
Practice address
6488 Spring St
Suite 102
Douglasville, GA 30134-1895
Phone
(770) 949-1595
NPI assigned
Feb 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC005223 GA Primary

Addresses

Primary practice location

6488 Spring St
Suite 102
Douglasville, GA 30134-1895

Mailing address

6488 Spring St
Suite 102
Douglasville, GA 30134-1895
Phone (770) 949-1595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC005223GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sheltered Cove Counseling Center Inc Professional Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1124390299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6488 SPRING ST",
            "address_2": "SUITE 102",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341895",
            "telephone_number": "770-949-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6488 SPRING ST",
            "address_2": "SUITE 102",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341895",
            "telephone_number": "770-949-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNIEN",
        "first_name": "TAFFEY-MARIE",
        "middle_name": "ALISON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.